<%@ page language="java" contentType="text/html; charset=ISO-8859-1"
    pageEncoding="ISO-8859-1"%>
    <html> 
<head> 
	
	<meta name="viewport" content="width=device-width, initial-scale=1"> 
	<link rel="stylesheet" href="http://code.jquery.com/mobile/1.1.0/jquery.mobile-1.1.0.min.css" />
	<script src="http://code.jquery.com/jquery-1.7.1.min.js"></script>
	<script src="http://code.jquery.com/mobile/1.1.0/jquery.mobile-1.1.0.min.js"></script>
<!DOCTYPE html PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN" "http://www.w3.org/TR/html4/loose.dtd">
<html>
<head>
<meta http-equiv="Content-Type" content="text/html; charset=ISO-8859-1">
<title>Cardiologist Form</title>
</head>
<body>
<form action="CardiologistFormServlet"  method="post">
<label for="patientID">topic</label>
			    <input type="text" name="topic" id="topic" value=""  width="30%" />
			    <br>
			     <label for="details">details:</label>
			    <input type="textarea" name="detail" id="detail" value=""  width="30%" />   
			       <label for="name">name</label>
			   
			    <input type="text" name="name" id="name" value=""  width="30%" />   
			     <label for="email">email:</label>
			    <input type="text" name="email" id="email" value=""  width="30%" />
			    
				<input type="submit" data-theme="b" value="submit" width="25%"></button>	
</form>
</body>
</html>